Request For Quotation (RFQ) No. RFQ-SHAHAR-KBL-0425

Attachment E: Representations and Certifications of Compliance1.Federal Excluded Parties List - The Bidder Select is not presently debarred, suspended, or determinedineligible for an award of a contract by any Federal agency.2.Executive Compensation Certification- FAR 52.204-10 requires DAI, as prime contractor of U.S. federalgovernment contracts, to report compensation levels of the five most highly compensated subcontractorexecutives to the Federal Funding Accountability and Transparency Act Sub-Award Report System (FSRS)3.Executive Order on Terrorism Financing- The Contractor is reminded that U.S. Executive Orders (includingE.O 13224) and U.S. law prohibits transactions with, and the provision of resources and support to,individuals and organizations associated with terrorism. FAR 25.701 prohibits agencies and theircontractors from acquiring any supplies or services from individuals or organization, if any proclamation,Executive Order, Office of Foreign Assets Control (OFAC) regulations, or statute administered by OFACwould prohibit such a transaction. Accordingly, the Contracting Officer must check the US Department of theTreasury’s OFAC List to ensure that the names of the Contractor and proposed subcontractors (andindividuals from those organizations who have been made known to them), are not on the list. MandatoryFAR clause 52.225-13 Restrictions on Certain Foreign Purchases is included by reference in Section I.1 ofthis contract. By accepting this contract, the Contractor acknowledges and agrees that it is aware of the listas part of its compliance with the requirements of that clause. This clause must be included in allsubcontracts/sub-awards issued under this contract. It is the legal responsibility of the Contractor/Recipientto ensure compliance with these Executive Orders and laws. Recipients may not engage with, or provideresources or support to, individuals and organizations associated with terrorism. No support or resourcesmay be provided to individuals or entities that appear on the Specially Designated Nationals and Blockedpersons List maintained by the US Treasury (online at www.SAM.gov) or the United Nations SecurityDesignation List (online at: http://www.un.org/sc/committees/1267/aq sanctions list.shtml). This provisionmust be included in all subcontracts/sub awards issued under this Contract.Subcontracting Requirements (January 2012) – (a) Applicability: This section limits the number of tiers ofsub-contracts to one tiers below the Vendor. The Vendor must not allow lower-tier subcontracts without theexpress written approval of DAI. Should exceptional circumstances warrant subcontracting below one tier,the Vendor shall promptly request approval in writing from DAI. The Vendor shall include this clause in allsubcontracts, and shall require subcontractors to include this clause in all lower-tier subcontracts. TheVendor shall be responsible for compliance with this clause by all subcontracts and lower-tiersubcontractors.5. Combating Trafficking of Persons (Feb 2009) – The Contractor may not traffic in persons (as defined in theProtocol to Prevent, Suppress, and Punish Trafficking of persons, especially Women and Children,supplementing the UN Convention against Transnational Organized Crime), procure commercial sex, anduse forced labor during the period of this award.(a) Definitions. As used in this clause—“Coercion” means—(1) Threats of serious harm to or physical restraint against any person; (2) Any scheme,plan, or pattern intended to cause a person to believe that failure to perform an act would result in serious harmto or physical restraint against any person; or (3) The abuse or threatened abuse of the legal process.4.“Commercial sex act” means any sex act on account of which anything of value is given to or received by anyperson. “Debt bondage” means the status or condition of a debtor arising from a pledge by the debtor of his orher personal services or of those of a person under his or her control as a security for debt, if the value of thoseservices as reasonably assessed is not applied toward the liquidation of the debt or the length and nature ofthose services are not respectively limited and defined.“Employee” means an employee of the Contractor directly engaged in the performance of work under thecontract who has other than a minimal impact or involvement in contract performance.“Forced Labor” means knowingly providing or obtaining the labor or services of a person—(1) By threats ofserious harm to, or physical restraint against, that person or another person; (2) By means of any scheme, plan,or pattern intended to cause the person to believe that, if the person did not perform such labor or services, that9

person or another person would suffer serious harm or physical restraint; or (3) By means of the abuse orthreatened abuse of law or the legal process.“Involuntary servitude” includes a condition of servitude induced by means of— (1) Any scheme, plan, or patternintended to cause a person to believe that, if the person did not enter into or continue in such conditions, thatperson or another person would suffer serious harm or physical restraint; or (2) The abuse or threatened abuseof the legal process.“Severe forms of trafficking in persons” means— (1) Sex trafficking in which a commercial sex act is induced byforce, fraud, or coercion, or in which the person induced to perform such act has not attained 18 years of age; or(2) The recruitment, harboring, transportation, provision, or obtaining of a person for labor or services, throughthe use of force, fraud, or coercion for the purpose of subjection to involuntary servitude, peonage, debtbondage, or slavery.“Sex trafficking” means the recruitment, harboring, transportation, provision, or obtaining of a person for thepurpose of a commercial sex act.(b) Policy. The United States Government has adopted a zero tolerance policy regarding trafficking in persons.Contractors and contractor employees shall not— (1) Engage in severe forms of trafficking in persons during theperiod of performance of the contract; (2) Procure commercial sex acts during the period of performance of thecontract; or (3) Use forced labor in the performance of the contract.(c) Contractor requirements. The Contractor shall—(1) Notify its employees of—(i) The United States Government’s zero tolerance policy described in paragraph (b) of this clause; and(ii) The actions that will be taken against employees for violations of this policy. Such actions may include, butare not limited to, removal from the contract, reduction in benefits, or termination of employment; and(2) Take appropriate action, up to and including termination, against employees or subcontractors that violate thepolicy in paragraph (b) of this clause.(d) Notification. The Contractor shall inform the Contracting Officer immediately of—(1) Any information it receives from any source (including host country law enforcement) that alleges aContractor employee, subcontractor, or subcontractor employee has engaged in conduct that violates this policy;and (2) Any actions taken against Contractor employees, subcontractors, or subcontractor employees pursuantto this clause.(e) Remedies. In addition to other remedies available to the Government, the Contractor’s failure to comply withthe requirements of paragraphs (c), (d), or (f) of this clause may result in—(1) Requiring the Contractor to remove a Contractor employee or employees from the performance of thecontract; (2) Requiring the Contractor to terminate a subcontract; (3) Suspension of contract payments; (4) Lossof award fee, consistent with the award fee plan, for the performance period in which the Governmentdetermined Contractor non-compliance; (5) Termination of the contract for default or cause, in accordance withthe termination clause of this contract; or (6) Suspension or debarment.(f) Subcontracts. The Contractor shall include the substance of this clause, including this paragraph (f), in allsubcontracts.(g) Mitigating Factor. The Contracting Officer may consider whether the Contractor had a Trafficking in Personsawareness program at the time of the violation as a mitigating factor when determining remedies. Additionalinformation about Trafficking in Persons and examples of awareness programs can be found at the website forthe Department of State’s Office to Monitor and Combat Trafficking in Persons at http://www.state.gov/g/tip.10

6.7.Certification and Disclosure Regarding Payment to Influence Certain Federal Transactions – The Biddercertifies that it currently is and will remain in compliance with FAR 52.203-11, Certification and DisclosureRegarding Payment to Influence Certain Federal Transactions.Organizational Conflict of Interest – The Bidder certifies that will comply FAR Part 9.5, OrganizationalConflict of Interest. The Bidder certifies that is not aware of any information bearing on the existence of anypotential organizational conflict of interest. The Bidder further certifies that if the Bidder becomes aware ofinformation bearing on whether a potential conflict may exist, that Bidder shall immediately provide DAII witha disclosure statement describing this information.8.Business Size and Classification(s) – The Bidder certifies that is has accurately and completely identified itsbusiness size and classification(s) herein in accordance with the definitions and requirements set forth inFAR Part 19, Small Business Programs.9.Prohibition of Segregated Facilities - The Bidder certifies that it is compliant with FAR 52.222-21, Prohibitionof Segregated Facilities.10. Equal Opportunity – The Bidder certifies that it does not discriminate against any employee or applicant foremployment because of age, sex, religion, handicap, race, creed, color or national origin.11. Labor Laws – The Bidder certifies that it is in compliance with all labor laws.12. Federal Acquisition Regulation (FAR) – The Bidder certifies that it is familiar with the Federal AcquisitionRegulation (FAR) and is in not in violation of any certifications required in the applicable clauses of the FAR,including but not limited to certifications regarding lobbying, kickbacks, equal employment opportunity,affirmation action, and payments to influence Federal transactions.13. Employee Compliance – The Bidder warrants that it will require all employees, entities and individualsproviding services in connection with the performance of an DAI Purchase Order to comply with theprovisions of the resulting Purchase Order and with all Federal, State, and local laws and regulations inconnection with the work associated therein.14. National Security Screening (Non-US Party Vetting) - The Purchase Order was awarded after following theprocedures in the Implementing Partner Notice No. OAA-IP-2011-004 and subsequent Notices related tothis matter which incorporated Mission Order No. 201.04 entitled, “National Security Screening (Non-USParty Vetting). Copies of the Implementing Partner Notice(s) and the Mission Order can be obtained fromthe DAI's Representative named herein. For awards that meet the Vetting threshold, USAID had issued anEligibility Notice to DAI for the vendor prior awarding the Purchase Order. This Eligibility Notice is valid for12 months. If the Purchase Order's Performance Period exceeds 12 months, the Vendor shall provide anupdated information used in filing the Partner Information Form (PIF) to start a new vetting process toacquire a new Eligibility Notice for the Vendor. Also, during the course of the 12 months, if the informationprovided by the vendor has changed, the Vendor shall notify DAI at once to update the Eligibility Noticeissued for the Vendor.15. Certification Regarding Provision of Support to Persons Engaged in Terrorism –(a) By receiving this Purchase Order, the Vendor certifies, to the best of its knowledge and belief that:(1) The Vendor, to the best of its current knowledge, did not provide, within the previous ten years, and will takeall reasonable steps to ensure that it does not and will not knowingly provide, material support or resources toany individual or entity that commits, attempts to commit, advocates, facilitates, or participates in terrorism acts,or has committed, attempted to commit, facilitated, or participated in terrorist acts, as that term is defined inparagraph 3.(2) The following steps may enable the Vendor to comply with its obligations under paragraph (1):a. Before providing any material support or resources to an individual or entity, the Vendor will verify that theindividual or entity does not (i) appear on the master list of Specially Designated nationals and Blocked Persons,which list is maintained by the U.S. Treasury’s Office of Foreign Assets Control (OFAC) and is available onlineat OFAC’s website: n.pdf, or (ii) is not included in anysupplementary information concerning prohibited individuals or entities that may be provided by USAID to DAI.b. Before providing any material support or resources to an individual or entity, the Vendor also will verify thatthe individual or entity has not been designated by the United Nations Security (UNSC) sanctions committee11

established under UNSC Resolution 1267 (1999) (the “1267 Committee”) [individuals and entities linked to theTaliban, Osama bin Laden, or the Al Qaidia Organization]. To determine whether there has been a publisheddesignation of an individual or entity by the 1267 Committee, the Subcontractor should refer to the consolidatedlist available online at the Committee’s website: Eng.htm.c. Before providing any material support or resources to an individual or entity, the Vendor will consider allinformation about that individual or entity of which it is aware and all public information that is reasonablyavailable to it or of which it should be aware.d. The Vendor also will implement reasonable monitoring and oversight procedures to safeguard againstassistance being diverted to support terrorist activity.(3) For the purpose of this Certification.a. “Material support and resources” means currency or monetary instruments or financial securities, financialservices, lodging, training, expert advice or assistance, safe houses, false documentation or identification,communications equipment, facilities, weapons, lethal substances, explosives, personnel, transportation, andother physical assets, except medicine or religious materials.b. “Terrorist act” means –(i) an act prohibited pursuant to one of the 12 United nations Conventions and Protocols related to terrorism(see UN terrorism conventions Internet site: http://untreaty.un.org/English /Terrorism.asp); or(ii) an act of premeditated, politically motivated violence perpetrated against noncombatant targets by subnational groups or clandestine agents; or(iii) any other person not taking an active part in hostilities in situations of armed conflict, when the purpose ofsuch act, by its nature or context, is to intimidate a population, or to compel a government or an internationalorganization to do or to abstain from doing any act.c.“Entity” means a partnership, association, corporation, or other organization, group or subgroups.d. Reference in this Certification to the provision of material support and resources shall not be deemed toinclude the furnishing of USAID funds or USAID-financed commodities to the unlimited beneficiaries of USAIDassistance, such as recipients of food, medical care, micro-enterprise loans, shelter, etc., unless the Vendor hasreason to believe that one or more of these beneficiaries commits, attempts to commit, advocates, facilitates, orparticipates in terrorist acts, or has committed, attempted to commit, facilitated or participated in terrorist acts.(b) By accepting or start performing this Purchase Order, the Vendor acknowledges that it has a continuingobligation and shall notify DAI within 72 hours in writing if it has intentionally or unintentionally taken any actionsthat have the result and effect of being inconsistent with the certification in subsection (a).(c) The certification in paragraph (a) of this clause and the requirement to update DAI as to a change in statusas set forth in paragraph (b) are representations upon which reliance was placed when making the award. If it islater determined that the Vendor knowingly rendered an erroneous certification, or did not notify DAI in writing ofa change in such certification, in addition to other remedies available to the U.S. Government and DAI, DAI mayterminate this sub award for default. DAI may also cease payments due to the Vendor even if goods andservices have been provided.16. Restrictions on Certain Foreign Purchases (June 2008) –(a) Except as authorized by the Office of Foreign Assets Control (OFAC) in the Department of the Treasury, theContractor shall not acquire, for use in the performance of this contract, any supplies or services if anyproclamation. Executive order, or statute administered by OFAC, or if OFACs implementing regulations at 31CFR Chapter V, would prohibit such a transaction by a person subject to the jurisdiction of the United States.(b) Except as authorized by OFAC, most transactions involving Cuba, Iran, and Sudan are prohibited, as aremost imports from Burma or North Korea, into the United States or its outlying areas. Lists of entities andindividuals subject to economic sanctions are included in OFAC's List of Specially Designated Nationals and12

Blocked Persons at http:// www.treas.gov/offices/enforcement/ofac/sdn. More information about theserestrictions, as well as updates, is available in the OFAC's regulations at 31 CFR Chapter V and/or on OFAC'swebsite at http:// www.treas.gov/offices/enforcement/ofac.(c) The Contractor shall insert this clause, including this paragraph (c), in all sub-contracts.(d) Before awarding any grant or similar instrument, the Contractor/Recipient shall obtain from the proposed subawardee the certification required under USAID's Acquisition and

Request for Quotation 1. RFQ No. RFQ-SHAHAR-KBL-0425 2. Issue Date July 07, 2020 3. Title Design, Print and Installation of Billboards for Promotion of “My City” Mobile Application 4. Issuing Office & Email/Physical Address for Submission of Quotes SHAHAR Procurement Procurem